Pharmacology
What is the antidote for benzodiazepines?
Flumazenil
Which electrolyte imbalance causes peaked tall T waves?
Hyperkalemia
Which cardiac rhythms require defibrillation?
V-tach & V-fib
Which fetal heart rate pattern indicates umbilical cord compression?
Variable decelerations
Which action by the nurse best prevent pressure injuries in an immobile client?
Turn and reposition every 2 hours
A client taking MAOIs consumes aged cheese and wine. Which complication is the nurse most concerned about?
Hypertensive crisis
A client with cirrhosis becomes confused and has asterixis. Which lab value is the nurse expecting?
Elevated ammonia
A ventilated client's peak airway pressure suddenly increase. What is the priority asssessment?
Check for kinks or obstructions in the tubing
An infant with pyloric stenosis will have what acid-base imbalance?
Metabolic alkalosis
A postoperative client has not voided in 8 hours and reports suprapubic pressure. What is the priority nursing action?
Bladder scan
A client taking digoxin has a potassium level of 2.9 mEq/L. Which complication is the nurse most concerned about?
Digoxin toxicity
A client with Addison's disease becomes hypotensive and confused. What medication does the nurse administer first?
IV hydrocortisone
A client with a head injury has Cushing's triad. What does this indicate?
Increased ICP
Increased ICP
A patient receiving IV furosemide develops swelling at the IV insertion site and the surrounding skin is cool and pale. What do these assessment findings indicate and what is the nurse's priority action?
Infiltration, stop the infusion and remove the IV
A client taking isoniazid reports numbness and tingling in the hands. Which supplement should the nurse anticipate?
Vitamin B6 (pyridoxine)
A post-op client develops sudden shortness of breath, chest pain, and hemoptysis. What complication is most likely occurring and what is the priority action?
PE, administer oxygen
A ventilated client suddenly becomes restless with absent breath sounds on one side. What is occuring?
Tension pneumothorax
A child with sickle cell disease has sudden severe chest pain and hypoxia. What complication is suspected?
Acute chest syndrome
Which position is best for a client with a suspected spinal injury?
Supine with spinal immobilization
What action should a nurse take before administering prescribed propranolol to a client with asthma?
Question the order, nonselective beta blockers can trigger bronchospasm
A client with renal failure develops peaked T waves and widening QRS. What is the priority treatment?
IV calcium gluconate
A client's CVP suddenly rises and BP drops after chest tube removal. What complication is suspected?
Cardiac tamponade
A postpartum client has uterine atony and heavy bleeding. Which medication is contraindicated with hypertension?
Methylergonovine (Methergine)
The nurse is caring for a client who has a prescription for cefuroxime 30 mg/kg/day PO in 2 divided doses. The client weighs 35 lb (15.9 kg). The nurse has cefuroxime 250 mg/5 mL available. How many mL should the nurse administer to the client with each dose? Round to the tenths place.
4.8 mL